Determining the relationship between oral health and physical function in elderly people

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of oral rehabilitation Pub Date : 2024-07-10 DOI:10.1111/joor.13790

Tunay Cicek, Ugur Burak Temel, Tahir Keskin, Ferdi Baskurt, Rabia Banu Ermis

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Abstract

Background

Poor oral conditions in the elderly may have numerous effects on general health, including physical fitness and performance.

Objectives

This study aimed to determine the relationship between oral health and physical function in elderly people.

Methods

Physical function and oral health parameters were compared using parametric comparison tests and Pearson correlation analyses. In addition, principal components analysis, hierarchical clustering and multidimensional scaling analysis clustered the patients' physical and oral health scores. The relationship between the groups was also determined using decision tree analysis.

Results

A total of 112 elderly patients participated in the study. Grip strength (GS) was higher in patients with high chewing ability, and Timed Up and Go (TUG) scores were lower in the high oral health group (p < .05). GS was correlated with Decay, Missing, and Filled Teeth Index (DMFT) and the number of remaining and functional teeth (p < .05). According to principal component analysis, it was seen that there were three components (oral, functional and quality of life (QoL) parameters), and the features that were related to each other were gathered together. TUG and GS showed the highest relative importance among physical function criteria in the classification based on chewing ability. They were GS and physical activity for oral health-related QoL.

Conclusion

In the elderly, higher physical function parameters, especially GS may be an indicator of a better oral health and oral health-related QoL. Preventive physical rehabilitation practices, in addition to oral treatments, may be effective in improving oral health in the elderly.

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确定老年人口腔健康与身体功能之间的关系。

背景：老年人口腔状况不佳可能会对总体健康产生诸多影响，包括体能和表现：本研究旨在确定老年人口腔健康与身体功能之间的关系：方法：使用参数比较测试和皮尔逊相关分析比较身体功能和口腔健康参数。此外，还通过主成分分析、层次聚类和多维标度分析对患者的身体和口腔健康评分进行了聚类。此外，还利用决策树分析确定了各组之间的关系：共有 112 名老年患者参与了研究。咀嚼能力强的患者握力（GS）较高，口腔健康水平高的患者定时上下（TUG）得分较低（P 结论：咀嚼能力强的患者握力（GS）较高，口腔健康水平高的患者定时上下（TUG）得分较低：在老年人中，较高的身体功能参数，尤其是握力，可能是较好的口腔健康和口腔健康相关 QoL 的指标。除了口腔治疗外，预防性的身体康复措施可能会有效改善老年人的口腔健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.